MEDICARE: LATION DAMINICA CATHY ASBERRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1447871223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATION DAMINICA CATHY ASBERRY

Provider Business Mailing Address
First Line	:	1739 WESTWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1337
Country	:	US
Telephone Number	:	513-586-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1739 WESTWOOD AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1337
Country	:	US
Telephone Number	:	513-586-9600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2020
Last Update Date	:	05/02/2020

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